What should be administered if initial treatment for laryngospasm is ineffective?

In cases of laryngospasm, initial treatment often involves maneuvers such as positive pressure ventilation, patting on the back, or providing oxygen to help relieve the spasm. However, if these methods prove ineffective and laryngospasm persists, the administration of 10-20 mg of Anectine (succinylcholine) intravenously may be warranted.

Succinylcholine is a neuromuscular blocker that works by depolarizing the neuromuscular junction, leading to paralysis of the laryngeal muscles. This can effectively relieve the spasm and allow for adequate ventilation and oxygenation. The rapid onset of succinylcholine makes it particularly useful in emergency situations like laryngospasm, where quick resolution is critical for patient safety.

The other treatment options, while they may have their own indications in different contexts, are not specifically effective for addressing acute laryngospasm in the scenario presented. Propofol, while a sedative, may not act quickly enough in this life-threatening situation. Corticosteroids could potentially be used in cases of inflammatory laryngospasm but are not immediate relief agents. Atropine is typically used to counteract bradycardia or excessive secretions and